PPACA: Feds Give States More Time to Meet External Review Standards
Federal regulators are pushing the deadline for state compliance with health insurance decision external review requirements back to Jan. 1, 2012.
The U.S. Treasury Department, the U.S. Labor Department and the U.S. Department of Health and Human Services (HHS) have announced that change and other, related changes in the rules governing handling of internal claims and appeals and external review processes in a preliminary version of a final rule posted on the website of the Labor Department’s Employee Benefits Security Administration.
The rules apply to non-grandfathered group health plans, holders of individual health coverage and members of governmental health plans. Depending on how many insured and self-insured plans retain “grandfathered status,” the rules could apply to about 157 million U.S. resi